Si's Library Navigation

This room contains pieces drawn from my experiences at Health Decisions. It offers practical advice for anyone involved in managing group health plan expenses.
From the present, this room contains articles and reports by others that I wanted to share. Reasons for sharing will vary, so expect a potpourri.
This room provides reference points and norms I have observed or documented that can be used by persons trying to get their bearings in the often confusing world of group health.
This room contains my views on the future of the US health care system. My intent is not to convince anyone, but to broaden the discussion beyond the political debate that passes for health reform in America.
This room contains recordings and trasncripts of conversations I've had with interesting people I have had the privilege of meeting. Some are friends, some professional acquantances; all have interesting perspectives worth sharing.
From the past, this room contains some of the talks and articles I have done that I thought were worth sharing.

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Repeal and Replace: Our Assessment 

Tuesday, January 24, 2017 10:26:00 AM Categories: Health Reform
The current debate swirling around the Affordable Care Act (ACA) "Repeal and Replace" is often full of opinion but short on facts. This update will reverse these proportions by expressing a few (clearly identified) opinions with the bulk ... read more
 

Open enrollment over? Now is the perfect time to do a dependent eligibility audit. 

Wednesday, January 11, 2017 11:00:00 AM Categories: Tools of the Trade

Dependent eligibility audits make sense for a number of reasons any time of the year. But right after open enrollment is by far the best time to think about doing this and making it a normal part of your annual activity.

... read more
 

How last-minute ACA filers should make out OK - ebn article 

Monday, January 25, 2016 9:43:00 AM Categories: News and Views
The author of this article offers sage advice. Health Decisions' experience is that for most of our clients filing is simple. However, for self-funded plans with complicated work forces, the extension is not only welcomed but needed. To avoid the ... read more
 

Compliance Confusion: How ACA Affects Brides and Benefits Pros - Workforce Article 

Tuesday, January 19, 2016 9:53:00 AM Categories: News and Views
This article humanizes the very real complexity introduced by Affordable Care Act (ACA) employer reporting. The author is correct in noting that, despite their promises, payroll companies cannot handle ACA reporting requirements. You need to... read more
 

ACA Extensions Make for a Happier New Year 

Tuesday, December 29, 2015 11:08:00 AM Categories: News and Views
Less than two weeks ago, we commented on a growing apprehension in the marketplace. Many self-funded companies – especially those relying on payroll vendors – were becoming concerned about the looming deadlines for the Affordable Care Act (ACA)... read more
 

ACA IRS Forms – Are you hearing what we’re hearing? 

Friday, December 18, 2015 9:55:00 AM Categories: News and Views
Word has it that some payroll vendors (among others) are now struggling to complete the Affordable Care Act (ACA) IRS forms for their clients. We’ve heard about some vendors informing clients that they won’t be able to do all the forms... read more
 

ACA Compliance - Lessons Learned in 2015 (Webinar) 

Thursday, November 19, 2015 4:25:00 PM Categories: Prior Presentations
Health Decisions is providing ACA compliance support to hundreds of group health plans, from large self-funded groups to small insured plans and their underwriters. Despite differing in size, the ACA compliance challenges these groups face are... read more
 

Top Trends in Healthcare Audits and Reviews - Video featuring Si Nahra 

Thursday, October 8, 2015 4:12:00 PM Categories: News and Views
For those of you who have missed our monthly webinars (we've missed you, too!), this video will provide some of that flavor: relevant information, practical tips, and Si's voice! For others who are newer to Health Decisions, perhaps... read more
 

Payroll Vendors and ACA Compliance: Competition and Opportunity for Brokers (Webinar) 

Thursday, April 30, 2015 3:22:00 PM Categories: Prior Presentations
An interesting and unexpected development arising from Affordable Care Act (ACA) compliance is the role played by payroll vendors. ACA compliance uses payroll facts to meet certain compliance requirements. Payroll companies have reacted in... read more
 

Jails Have Become Warehouses for the Poor, Ill, and Addicted - New York Times Article 

Friday, March 6, 2015 10:42:00 AM Categories: News and Views
This article reinforces what we at Health Decisions have been seeing at the jails we have worked with. Jails need to be seen as part of the continuum of care. The Affordable Care Act took some positive steps in this direction, but more needs to... read more
 
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